SGN2009-00150 � '
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009-00150
DEVELOPMENT e Issued: 06/18/2009
Date 9
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 DA01000
Jurisdiction: Tigard
Name of Business:
Business Address: 7100 SW FIR LP
Applicant/Agent: Highlight Sign Corp,
Work Description: Installation of (1) one 40 s.f. permanent wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'x10'
Total Sign Area: 40
Wall Area: 1600
Wall Face (Direction): North
Sign Height: 17 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: Plastic /Alum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
• • •
Approved By: -. 1`
Permittee Signature: _
, SIGN PERMIT APPLICATION `P.
- - Cray of Tigard Pernt Center 13125 SW Hall BM, Tigarc4 OR 97223 `
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project •
FOR STAFF USE ONLY
Site
Address / Street Address Permit No.: 45C� A) 3 5-00 l s-
Location
'11 00 S (,t> i� 1 L. �
Suite /Bldg. # Qty/State Zip Expiration Date:
fl'(,i C3 Receipt # : l
Name 11 �� , ,�1 Approved By: 1�1 4
Property ��" ZyA&r 1 ! 1 L..2'/UkDate: CO /j b l d 7
Own M g Address Suite Map /TL# :
c 4 V. e_ Zoning:
Gry /State Zip Phone
Tenant or N Electrical Permit Required? s ❑ No
Business Q 214C,�6 `I `1-1 (.. Building Permit Required? ❑Yes No
Name Rev. 7/1/07
is \curpin \masters \land use applications \sign pemut app.doc
Sign E' 1 (i UI 6 fi S I ()
Contractor• Mailing Address Suite
(O
issuance, a copyofall City/State Zip / Phone REQUIRED SUBMITTAL ELEMENTS
licenses are C1722.5 � (Note: applications will not be accepted
required if ��9j O� � �$ without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) l d � k4 ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway n 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary 'CI Wall • ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other , cv& Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply)
titotCh) y
El New sign? Er Alter to exisffng s ❑ 2 copies of elevations, drawn to scale
Sign Dimensiow i ( (3 copies, if a building permit is required)
`L size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 4 1 - 0 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) t C.X1 ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 161 S E W NE NW SE SW
Height to top of sign (feet): ( 7 1 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): f I must include dimensions of wall face and sign
Copy Y•►ct a"4 7-, Lft placement.
f ♦ Wall signs do not require site /plot plans.
Materials: L (C_//4/4" Al IA,1 L m" • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: C6, Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
1=1 Yes V) No
NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this day of , 20
L A
/ /
ig .tore of Owner /Agent
Contact.Person Name Phone No.
I
1 ,0
f 3-row4 L
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DA'1ED this day of , 20 LP
f J
G
ign.ture of Owner /Agent
Contact.Person Name PhQ NqW itAAH
Approved
Conditionally Approved [ ,
For only the works d,escrib d in:
PERMIT NO E` Lc� -u-) 'So
See Letter to: Follow
Attach [
Job A1•r y 1I 5...► f
1 b C i ¢�....� Date•
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 174048 - 06/18/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00150 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00150 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7061 KPEERMAN 06/18/2009 $40.00
Payor: Highlight Sign Corp
Total Payments: $40.00
Balance Due: $0.00
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